2008-05-27_REVISION - M1976059 ‎(3)‎

• Permit No: M1976059
• IBM Index Class Name: REVISION
• Doc Date: 5/27/2008
• Doc Name: Submittal of SO Appl., PW and CS/ General Purpose Rider
• From: DRMS
• To: Skanska USA Civil West Rocky Mountain District Inc.
• Type & Sequence: SO1
• Email Name: MET
• Media Type: D
• Archive: No

-2-
AD INFORMATION:
I. Permit Number:
2. Operation Name:
3. Current Permitted Overator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Suceessor Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
IRS Tax III No, or Social Security No.
M-1976-059
Cortez Sandstone Pit
Craig Wickstrom
Nielsons Inc.
P.O. Box 1660/22419 CR G
Cortez
Colorado Zip Code: 81321
970 Telephone: [phone]
Craig Wickstrom
Skanska USA Civil West
Rey Mottnra. District Inc
PO. Sox 1 60/22419 CR G
Cortez
Colorado Zip Code: 81321
970 Telephone:
5. APPlication Fee: S 115,00 for Hard Rock operations; $1=4.40 for Construction Materials operations
Make check payable to the Division of Reclamation, Mining and Safety